Page 16 - Venafi - 2021 Benefit Guide - CA

medical, dental, and vision rates

Venafi Health Savings Account Contributions
Medical Insurance Rates
IRS Annual VENAFI HSA CONTRIBUTIONS
Maximum Monthly Annually
United Healthcare - Traditional Copay Plan (Choice+) Team Member (TM) Only $3,600 $100.00 $1,200

Team Member VENAFI PREMIUM COST TM + Spouse/Domestic Partner $7,200 $208.33 $2,500
Premium Monthly Annually TM + Child(ren) $7,200 $208.33 $2,500
Team Member (TM) Only $0.00 $647.79 $7,773.48 TM + Family $7,200 $266.67 $3,200
TM + Spouse/Domestic Partner $0.00 $1,432.41 $17,188.92
TM + Child(ren) $0.00 $1,367.67 $16,412.04
TM + Family $0.00 $2,022.42 $24,269.04 Dental Insurance Rates

United Healthcare - High Deductible Health Plan (Choice+) Cigna - PPO Plan

Team Member VENAFI PREMIUM COST Team Member VENAFI PREMIUM COST
Premium Monthly Annually Premium Monthly Annually
Team Member (TM) Only $0.00 $527.43 $6329.16 Team Member (TM) Only $0.00 $53.59 $643.08
TM + Spouse/Domestic Partner $0.00 $1,166.19 $13,994.28 TM + 1 Dependent $0.00 $106.49 $1,277.88
TM + Child(ren) $0.00 $1,113.53 $13,362.36 TM + Family $0.00 $164.99 $1,979.88
TM + Family $0.00 $1,646.54 $19,758.48
Vision Insurance Rates
Kaiser Permanente - HMO Plan

Team Member VENAFI PREMIUM COST Cigna - PPO Plan
Premium Monthly Annually VENAFI PREMIUM COST
Team Member
Team Member (TM) Only $0.00 $584.43 $7,013.16 Premium Monthly Annually
TM + Spouse/Domestic Partner $0.00 $1,291.59 $15,499.08 Team Member (TM) Only $0.00 $6.36 $76.32

TM + Child(ren) $0.00 $1,233.15 $14,797.80 TM + Spouse/Domestic Partner $0.00 $12.73 $152.76
TM + Family $0.00 $1,823.43 $21,881.16 TM + Child(ren) $0.00 $12.86 $154.32
TM + Family $0.00 $20.52 $246.24

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